A major goal in all healthcare is the prevention of falls. What ...

[soccerdreamer_17]

A major goal in all healthcare is the prevention of falls. What are examples of routine fall prevention measures that nurses must institute?
 
  1 . Making sure wheelchairs are locked when the client is in bed
  2 . Assisting with ambulation when needed
  3 . Making sure spills are labeled with a sign and cleaned up within 1 hour
  4 . Assessing clients and documenting in the client's record at least once every 24 hours
  A) 1, 2
  B) 1, 3
  C) 2, 4
  D) 3, 4

Question 2

The nurse is gathering supplies for bed making. What is the purpose of a tight bottom sheet?
 
  A) Prevents wrinkles that might cause skin irritation
  B) Does not weigh on the client's body
  C) Does not restrict movements, but still covers the shoulders
  D) Suits individual client conditions

[duke02]

Answer to Question 1

C
Feedback:
A major goal in all healthcare is the prevention of falls. Routine fall prevention includes such factors as making sure wheelchairs are locked when the client is transferring, assisting with ambulation when needed, and making sure all spills are cleaned up immediately. Fall-Risk Assessment must be documented on the client's record at least once every 24 hours.

Answer to Question 2

A
Feedback:
Necessary supplies for bed making include clean linens, a tight bottom sheet to prevent wrinkles that might cause skin irritation, and upper bed clothing that does not weigh on the client's body or restrict movements, but still covers his or her shoulders. Adjustments in basic bed making may be necessary for comfort and to suit individual client conditions.